Agenda and draft minutes

Health Scrutiny Committee
Thursday, 19th March, 2015 7.00 pm

Venue: Peel Room (Elizabethan Suite), Town Hall, Knowsley Street, Bury

Contact: Julie Gallagher, Email: julie.gallagher@bury.gov.uk 0161 253 6640 

Items
No. Item

HSC.567

DECLARATIONS OF INTEREST

Members of Health Scrutiny Committee are asked to consider whether they have an interest in any of the matters on the agenda and if so, to formally declare that interest.

Minutes:

Councillor N. Parnell declared a personal interest in respect of minute HSC.572 as his partner is employed by Pennine Acute NHS Trust.

 

Councillor T. Pickstone declared a personal interest in respect of all matters under consideration as his partner works for the NHS.

 

Councillor J. Grimshaw declared a personal interest in respect of all matters under consideration as a member of the patients cabinet.

 

HSC.568

PUBLIC QUESTION TIME

Questions are invited from members of the public present at the meeting on any matters for which this Committee is responsible.

Minutes:

There were no questions asked by the members of public present at the meeting.

 

HSC.569

MINUTES OF THE LAST MEETING pdf icon PDF 71 KB

The minutes of the last meeting held on 10th February 2015 are attached.

Minutes:

It was agreed:

 

That the Minutes of the last meeting held on 10th February 2015 be approved as a correct record and signed by the Chair.

 

HSC.570

MATTERS ARISING

Minutes:

There were no matters arising.

 

HSC.571

DRUG AND ALCOHOL SERVICES UPDATE pdf icon PDF 479 KB

Tracy Minshall, Strategic Lead, Strategy and Development, Department of Communities and Wellbeing will report at the meeting.  Presentation attached.

 

Others officers in attendance will include - Ann Norleigh Noi (Senior Partnership Implementation Officer); Pam Lievesley -  One Recovery Bury (Service Delivery Director for Bury); Anita McWilliam One Recovery Bury (Team manager); Debbie Chadwick – Sodexo Justice Services/One Recovery Bury (Drug & Alcohol Strategy Lead Forest Bank).

 

Minutes:

Tracy Minshull, Strategic Lead, gave a presentation providing an overview of Bury’s drug and alcohol service.  The aim of the presentation is to give assurance to the health overview and scrutiny committee that the new service provider, Addiction Dependency Solution is providing a quality service.

 

The Strategic Lead reported that it has been necessary to systematically transform the way drug and alcohol services are provided.  The transformation will aim to break the service users cycle of dependency.  The new service model will be different and will be based on a recovery care pathway.

 

The Senior Partnership Implementation Officer reported that as part of the procurement process an assessment of the current service was undertaken.  As a result of the assessment, a vision was developed which formed part of the service specification;

 

Our vision is to commission a drug and alcohol service which is based on local need; adopts a whole system approach to provision; is outcome focused and recovery orientated; and, is responsive to both the needs of individual service users and emerging local trends.”

 

The Service specification stated that the new provider will:

·         provide the provision of drug and alcohol service for adults in Bury

  Age range: 18 years and over

  Substances: Drugs: including ‘legal highs’, over the counter/ prescribed medications and alcohol.

  Contract duration: 3 years (with the provision to extend for further 12 months)

  Procurement process from: July 2012 to April 2014

 

The Service Delivery Director reported that there had been a number of challenges in managing the new service and implementing the new service model; the challenges have included, reviewing and adjusting the service model, transfer of staff, data and a change to a recovery model of service provision.

 

The Drug and Alcohol Strategy Lead, Forest Bank reported that the new system is working well.  Drug and Alcohol workers are able to get involved in treatment at an earlier stage, provide a single point of entry into the service and peer mentors. 

 

Members of the Committee considered a verbal presentation from an ex service user, who had received help and support from the service to tackle his drug and alcohol addiction.  The service user provided members of the committee with details of his experience of being an addict and the support he had received from the service.  The service user is a peer mentor and helps other service users.

 

Those present were given the opportunity to ask questions and make comments and the following points were raised:-

 

In response to a question from Councillor Walker, the Senior Partnership Implementation Officer reported that due to changes in relation to the National Drug Treatment Monitoring System and a transfer of data to Public Health England, there has been a delay in providing up to date performance information.

 

The Strategic Lead reported that drug and alcohol services for those service users under 18 would be provided by Early Break.

 

In response to a Member’s question, the Service Delivery Director reported that there is a monthly meeting held at  ...  view the full minutes text for item HSC.571

HSC.572

INTRODUCTION FROM THE CHIEF EXECUTIVE OF THE PENNINE ACUTE NHS TRUST

The Chief Executive of the Pennine Acute NHS Trust, Dr Gillian Fairfield will report at the meeting.

Minutes:

Members of the Committee considered a verbal presentation from Dr Gillian Fairfield, Chief Executive Officer, Pennine Acute NHS Trust, the purpose of her attendance will be to provide members of the committee with an update with regards to the Acute Trust.

 

The Chief Executive reported that the Trust will spend roughly £1.5m per day on providing healthcare services for local people.  In the financial year 2014/15 the Trust saw 637,843 outpatients, 121,118 totalinpatients and 72,511 day cases; delivered 9,899 babiesmade 148,340 visits to patients in their own

homes; issued over 1 million items from the pharmacy and provided over 1.6 million patient meals.

 

The Chief Executive reported that in the same period there has been a significant reduction in the Trust’s mortality ratio and it is now the second lowest in the North West of England, with a level of performance which means that statistically 20% fewer patients than expected died in our hospitals in 2013/14.

 

The Chief Executive reported that she has been in post almost twelve months and in that time she has reviewed the senior leadership and the clinical leadership team, as well as reviewing the governance structures and clinical care pathways.

 

The Chief Executive reported that the Trust had struggled to meet the four hour target for A&E in quarter three.  A number of issues have coincided that have resulted in additional pressures on A&E.  The Chief Executive reported that there are a number of patients (120) that are currently occupying beds that are fit to be discharged.  A number of those patients are residents of Bury.

 

The Chief Executive reported that partners need to work together to ensure that services are properly integrated, this has worked very well in North Manchester General Hospital where multi-disciplinary teams are co-located.

 

The Chief Executive reported that the Trust would want to ensure that they are very much involved in the development of the Manchester devolution proposals.

 

The Healthier Together proposals are only part of the Trust’s reconfiguration plan.  The Trust plan to review all other services provided and will hold a second workshop event to discuss with partners the service provision going forward.

  

It was agreed:

 

1.   That the Chief Executive of the Pennine Acute NHS Trust be thanked for her attendance.

2.   Delayed discharge will be an agenda item at a future Health Overview and Scrutiny Committee.

 

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HEALTH SCRUTINY EVENT UPDATE pdf icon PDF 52 KB

A copy of an Evaluation report from Jane Scullion, Centre for Public Scrutiny advisor is attached.

Minutes:

Members of the Committee considered the Centre for Public Scrutiny Health Overview and Scrutiny Evaluation report.

 

It was agreed:

 

That future Health Overview and Scrutiny Committee reports, where appropriate, contain performance information.

 

HSC.574

THANK YOU TO COUNCILLOR BURY

Any other business which by reason of special circumstances the Chair agrees may be considered as a matter of urgency.

Minutes:

Councillor Walker on behalf of the Committee thanked the Chair, Councillor Bury, for his hard work and commitment during the Municipal year.